PEPFAR 3.0 | Controlling the Epidemic: Delivering on the Promise of an AIDS-free Generation | 2015

GLOBAL POLICY 3.0

Eleven years ago when the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) was announced by President George W. Bush, and passed with a bipartisan majority in Congress, few thought this massive undertaking would be such a remarkable success.

PEPFAR 3.0 | GLOBAL STRATEGY | DELIVERING ON OUR PROMISE

While Phase I of PEPFAR focused on building an Emergency Response, Phase II, continued under the Obama Administration, emphasized Sustainability. PEPFAR established Partnership Frameworks—joint strategic roadmaps developed, agreed to and signed by the U.S. and partner governments, promoting mutual accountability and sustainability. PEPFAR signed 22 Partnership Frameworks from 2009 through 2012, launching a new era of collaborative planning and health systems strengthening activities with our partner governments. An emphasis was also placed on increasing the impact of PEPFAR’s investments by scaling up access to ART, preventing mother-to-child transmission (PMTCT) and voluntary medical male circumcision (VMMC) for impact. This led to the landmark announcement in June 2013 by Secretary of State John Kerry that one million babies had been born HIV-free thanks to PEPFAR support. Now, PEPFAR is heading into what may be its most challenging, but exciting, phase yet—Phase III focusing on Sustainable Control of the Epidemic. To reach the Joint United Nations Programme on HIV/AIDS’ (UNAIDS) ambitious 90-90-90 global goals: 90 percent of people with HIV diagnosed, 90 percent of them on ART and 90 percent of them virally suppressed by 2020—we have to shift the way we do business.

We can best control the Introduction 6 epidemic by pivoting to a data-driven approach that strategically targets geographic areas and populations where we can achieve the most impact for our investments. As stated in the 2012 PEPFAR Blueprint for Creating an AIDS-free Generation, we need to go where the virus is—targeting evidence-based interventions for populations at greatest risk in areas of greatest HIV incidence.1

As we have done since the creation of the program, we will work to leave no population at greatest risk behind. Children, adolescents, young women and other key populations, such as men who have sex with men, people who inject drugs, and sex workers will remain a priority.

We will accelerate efforts to prevent HIV infections and ensure treatment among those who need it most. Our work will be data-driven from the national level down to the most granular site level to best guide programmatic decision-making and solidify sustainability and quality.

Access to viral load testing will be essential so everyone can ensure they have effective treatment.

Transparency with data will allow for mutual accountability and innovation, so that PEPFAR investments can have the greatest impact, as quickly as possible, to ensure each dollar is spent effectively.

Partnerships will also continue to be of great importance in ultimately achieving an AIDS-free generation.

As President Obama, Secretary Kerry and former Secretary Clinton have made clear, we cannot do this alone.

We need partnerships with organizations, other donor nations, civil society and multilateral institutions, and we need on-the-ground partners and governments who are vital to controlling the epidemic in their countries.

Greater, deeper, and broader engagement of those most impacted by this epidemic will be launched and monitored. In just eleven years, PEPFAR has moved from an emergency program to one squarely focused on controlling the epidemic.

The remainder of this report presents PEPFAR’s plan to control the epidemic based on five action agendas:

› Impact Action Agenda

The Right Things Doing the right things means improving our site monitoring, strengthening our program quality, and scaling-up our core interventions—ART, PMTCT, VMMC and condoms. Scaling-up the core interventions for maximum impact on the epidemic, with substantial declines in HIV incidence, is the only way to reach a truly sustainable response and the final pathway to ending AIDS one country at a time.

› Efficiency Action Agenda

Increasing transparency, oversight and mutual accountability will remain a PEPFAR priority as we work to achieve an AIDS-free generation. In 2015, PEPFAR is looking to establish agency accountability metrics and quality improvement services that demonstrate efficiencies. The ambitious goal for 2016 is to demonstrate domestic and global programmatic synergies with clear cost savings

› Sustainability Action Agenda

› Partnership Action Agenda

› Human Rights Action Agenda

It is our plan for America to continue to play a leadership role in ending this devastating pandemic. And it is our plan to help achieve an AIDS-free generation. Compassion and impact demands that all people have access to services that allow them to survive, thrive and fulfill their dreams.

http://www.pepfar.gov/documents/organization/234744.pdf

I pull the "triggers" a always look for the word "action"

GENDER JUSTICE

Gender Justice

Department Of Justice

Factsheet: The Violence Against Women Act

GENDER JUSTICE OF NV

Economic Livelihood Project

S O U T H E R N N E V A D A T R A N S G E N D E R R E S O U R C E G U I D E

Gender Justice of Nevada Calandar